161882 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 154252 Page 1 of 1
ONE CIVIC SQUARE INDIANA OXYGEN CO
CARMEL, INDIANA 46032 PO BOX 78588 CHECK AMOUNT: $92.62
INDIANAPOLIS IN 46278
CHECK NUMBER: 161882
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUN PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
2201 4231100 00474228 92.62 BOTTLED GAS
I
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ORIGINAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER: 07851 PAGE: 1
P.O. BOX 78588 INVOICE: 00474228 ORDER: 01038629 -00
INDIANAPOLIS, IN 46278 -0588 INV DATE: 07/11/08 ORD DATE: 0 7/02/08
317 290 -0003 SALESPERSON: 000 TERR: 007
BRANCH: 004 INT: TIM
P /O: H
TERMS: NET 30
SHIP VIA: UPS
RELEASE
B S
I CARMEL STREET DEPT H CARMEL STREET DEPT
3400 W 131ST ST F 3400 W 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074
T T
O O
INVOICE AMOUNT: 92.62
PLEASE SEND TOP PORTION WITH YOUR PAYMENT
ITEM aTY OTY DESCRIPTION UOM UNIT AMOUNT._l,
si +IF D ago PRICE
Location:
WLTION24 5 0 3/32 2,4 COLLET EA 1.17 5.85
W 2 3 1/8 3,2 COLLET EA 1.17 2.34
WLTlON32 5 0 3/32 2,4 COLLET BODY EA 2.70 13.50
WLTlON28 5 0 1/8 3,2 COLLET BODY EA 2.70 13.50
OKIBWS187GT2 1 0 1/8X7 GROUND 2% THORIA PKG 48.93 48.93
WLTION46 5 0 #8 ALUMINA NOZZLE 1/2" EA 1.70 8.50
WLTlON45 0 5 #10 ALUMINA NOZZLE 5/8" EA 1.70 0.00
Subtoial 92.62
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email in oice@indianaoxyjen.com
I Taxable amount: 10.00
CARMEL STREET DEPT CUSTOMER: 07851 AMOUNT 92.62
3400 W 131ST ST INVOICE: 00474228 THIS INVOICE
INCLUDING TAX
WESTFIELD IN 46074 INVOICEDATE: 07/11/08
ORDER: 01038629 -00 P /O: H
INDIANA OXYGEN COMPANY P.O. BOX 78588 INDIANAPOLIS, IN 46278 -0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF
P. O. Box 78588
Indianapolis, IN 46278 -0588
$92.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 00474228 42- 311.00 $92.62 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, July 17, 2008
Street C g missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by,
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/11/08 00474228 $92.62
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer